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Club Merchandise Order Form
To print this form click View from top Windows menu, and set to medium print size. Then click File from the same list, click print, then proceed to print as any document.
Person placing order:
Name
Address
City State Zip
phone other phone
Person to receive order. Same as above? YES NO Complete the next section if not the same.
Name
Address
City State Zip
phone other phone
Warm up jacket. Circle size to be ordered. Mark an X beside price below for each order.
SIZE: adult XS S M L XL 2X $46.00
youth S M M XL $43.00
Upgrade #1: back embroidery (optional) $25.00
Upgrade #2: right chest last name (optional) $5.00
spell name to embroider: __-__-__-__-__-__-__-__-__-__-__-__-__-__-__
Total jacket price $
Warm up pants. Circle the size to be ordered.
SIZE: adult XS S M L XL 2X $35.00
youth S M L XL $33.00
Travel team jersey. Circle size to be ordered.
Adult: S M L XL 2X
Youth: S M L $20.00
Total amount enclosed $
Mail this order form and payment to: SAYSA Treasurer, 4928 Tamarack Dr, Sharpsville, Pa 16150.
Do not send cash; checks or money orders only please.
Allow 3 - 4 weeks for the processing of your order.
for club use
Date received / / check# amt$ date delivered / /
form updated 11/18/2003